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1.
Nat Methods ; 18(10): 1213-1222, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34594034

RESUMEN

Recent years have witnessed rapid progress in the field of epitranscriptomics. Functional interpretation of the epitranscriptome relies on sequencing technologies that determine the location and stoichiometry of various RNA modifications. However, contradictory results have been reported among studies, bringing the biological impacts of certain RNA modifications into doubt. Here, we develop a synthetic RNA library resembling the endogenous transcriptome but without any RNA modification. By incorporating this modification-free RNA library into established mapping techniques as a negative control, we reveal abundant false positives resulting from sequence bias or RNA structure. After calibration, precise and quantitative mapping expands the understanding of two representative modification types, N6-methyladenosine (m6A) and 5-methylcytosine (m5C). We propose that this approach provides a systematic solution for the calibration of various RNA-modification mappings and holds great promise in epitranscriptomic studies.


Asunto(s)
Epigénesis Genética , Biblioteca de Genes , Secuenciación de Nucleótidos de Alto Rendimiento/métodos , ARN/genética , Transcriptoma , Calibración , Regulación de la Expresión Génica , Células HeLa , Humanos
2.
J Pathol ; 260(5): 551-563, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37580849

RESUMEN

Computational pathology refers to applying deep learning techniques and algorithms to analyse and interpret histopathology images. Advances in artificial intelligence (AI) have led to an explosion in innovation in computational pathology, ranging from the prospect of automation of routine diagnostic tasks to the discovery of new prognostic and predictive biomarkers from tissue morphology. Despite the promising potential of computational pathology, its integration in clinical settings has been limited by a range of obstacles including operational, technical, regulatory, ethical, financial, and cultural challenges. Here, we focus on the pathologists' perspective of computational pathology: we map its current translational research landscape, evaluate its clinical utility, and address the more common challenges slowing clinical adoption and implementation. We conclude by describing contemporary approaches to drive forward these techniques. © 2023 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.


Asunto(s)
Inteligencia Artificial , Neoplasias , Humanos , Algoritmos , Pronóstico , Patólogos , Neoplasias/diagnóstico , Neoplasias/patología
3.
Clin Exp Ophthalmol ; 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39091114

RESUMEN

BACKGROUND: To evaluate current practice patterns of Immediate Sequential Bilateral Cataract Surgery (ISBCS) by ophthalmologists in Singapore and assess their attitudes towards performing ISBCS in future cataract care. METHODS: An anonymised electronic survey, modified to local context from a similar study conducted in the United Kingdom, was distributed to members of the College of Ophthalmologists, Academy of Medicine, Singapore, from 20 June to 1 September 2023. An initial screening question on prior experience with ISBCS directed the rest of the survey. Questions explored ophthalmologists' current ISBCS practice patterns and the importance of factors affecting their willingness to perform ISBCS. Results were descriptively analysed. RESULTS: Results collated 2 months upon survey dissemination saw a total of 58 respondents from 235 eligible members (24.7% response rate). Of these, 16 (27.6%) were currently performing ISBCS, 37 (63.8%) had never performed, and 5 (8.6%) had stopped performing. In considering ISBCS, patient convenience (n = 11, 68.8%) and reduced hospital visits (n = 8, 50.0%) were the most important factors nominated. The most important barriers to performing ISBCS were medico-legal issues (n = 31, 83.8%) and risk of endophthalmitis (n = 27, 73.0%), followed by perceived lack of evidence for its effectiveness (n = 19, 51.4%). CONCLUSION: This is one of the first studies evaluating ophthalmologists' sentiments towards performing ISBCS in an Asian country. It highlights some of the most pertinent barriers and concerns that ophthalmologists face in performing and offering ISBCS. This study provides a better understanding of the potential role and prospects of ISBCS in future cataract care in Singapore.

4.
Sex Health ; 20(4): 363-365, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37088547

RESUMEN

Syndemics of poor mental health also drive poorer sexual health outcomes. This study used three scales, the Alcohol Use Disorders Identification Test (AUDIT), the Drug Abuse Screening Test (DAST-10), and the Depression Anxiety Stress Scale (DASS-21) among beneficiaries of sexual health services in Singapore (n =975), respectively. We found that a prevalence of 20.4% and 18.6% of hazardous and moderate-severe alcohol use disorders and substance use risks, respectively. About 13.7%, 18.1% and 10.5% of participants reported severe to extremely severe symptoms of depression, anxiety, and stress, respectively. Further investigation and integrated interventions for mental health in sexual health settings are warranted.


Asunto(s)
Alcoholismo , Trastornos Relacionados con Sustancias , Humanos , Depresión/epidemiología , Alcoholismo/epidemiología , Alcoholismo/psicología , Estudios Transversales , Prevalencia , Singapur/epidemiología , Ansiedad/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/psicología , Factores de Riesgo , Servicios de Salud
5.
Molecules ; 26(24)2021 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-34946710

RESUMEN

Stingless bee honey, specifically honeydew honey, is generally valued for its better health benefits than those of most blossom types. However, scientific studies about the differentiation of stingless bee honey based on honeydew and blossom origins are very limited. In this study, 13C NMR spectroscopy was employed to quantify the seven major sugar tautomers in stingless bee honey samples, and the major sugar compositions of both honeydew and blossom types were found not significantly different. However, several physicochemical properties of honeydew honey including moisture content, free acidity, electrical conductivity, ash content, acetic acid, diastase, hydrogen peroxide, and mineral elements levels were significantly higher; while total soluble solid, proline, and hydroxymethylfurfural were significantly lower than blossom honey. Greater antioxidant capacity in honeydew honey was proven with higher total phenolic compounds, ABTS, DPPH, superoxide radical scavenging activities, peroxyl radical inhibition, iron chelation, and ferric reducing power. Using principal component analysis (PCA), two clusters of stingless bee honey from the honeydew and blossom origin were observed. PCA also revealed that the differentiation between honeydew and blossom origin of stingless bee honey is possible with certain physicochemical and antioxidant parameters. The combination of NMR spectroscopy and chemometrics are suggested to be useful to determine the authenticity and botanical origin of stingless bee honey.


Asunto(s)
Antioxidantes/química , Abejas , Carbohidratos/química , Quimiometría , Miel/análisis , Resonancia Magnética Nuclear Biomolecular , Fenoles/química , Animales , Malasia
6.
Med Teach ; 38(5): 498-503, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26204255

RESUMEN

BACKGROUND: This study followed the workforce choices of 10-years of graduates from a longitudinal rural immersion programme, which involved living for one academic year in a rural location as a medical student. The Rural Clinical School of Western Australia is a whole-of-state Rural Clinical School partnership involving two medical schools and fourteen rural/remote towns. METHOD: For this longitudinal cohort study, all consenting graduates were contacted annually after graduation, with the outcome measure being rural work location (defined by the Australian Standard Geographical Classification -Remoteness Area) of any duration. RESULTS: There were 417 consenting graduates. Between 16 and 50% of contacted alumni worked rurally for a period of each post-graduate year. Aggregated over time, the majority took up to 30% of their postgraduate training rurally. There was considerable movement in and out of rural work. About 17% of contacted and practicing graduates were working full time rurally at the 2013 contact point. The majority remained in their state of training. The majority identified with GP and other rural-related colleges, and College-affiliation predicted amount of rural training time. Entry into rural work was equivalent for urban-origin and rural origin alumni, suggesting one year of RCS is sufficient to convert commitment to rural work. CONCLUSION: Undergraduate rural immersion is sufficient to create a graduate rural workforce that is far more mobile that was previously appreciated.


Asunto(s)
Educación de Postgrado en Medicina , Ubicación de la Práctica Profesional , Servicios de Salud Rural , Selección de Profesión , Estudios de Cohortes , Humanos , Australia Occidental
7.
Artículo en Inglés | MEDLINE | ID: mdl-26521521

RESUMEN

Honey is well-known for its antioxidant properties due to the presence of phytochemical compounds, which are also involved in antibacterial activities. In this study, properties (total phenolic compounds, flavonoids, free radical scavenging activity, ferric reducing-antioxidant power, reducing sugar content, and pH) of Malaysian Melaleuca honey were investigated for their antistaphylococcal activity, against both methicillin-sensitive (MSSA) and resistant (MRSA) Staphylococcus aureus strains using a hole-in-plate diffusion method. The outcome revealed there is a significant positive correlation between the antistaphylococcal activity and increase in honey concentration [20%-80% (v/v) in distilled water], which also correlated with each of the above mentioned parameter in honey, except for pH value that shows negative correlation. Furthermore, there was no difference in susceptibility to Melaleuca honey between MSSA and MRSA strains. Thus, in addition to being an antioxidant product, Melaleuca honey has a potential as a natural antistaphylococcal agent.


Asunto(s)
Antibacterianos/farmacología , Miel , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Antibacterianos/química , Carbohidratos/química , Cloruros , Compuestos Férricos , Flavonoides/química , Depuradores de Radicales Libres/química , Depuradores de Radicales Libres/farmacología , Concentración de Iones de Hidrógeno , Melaleuca , Fenoles/química , Staphylococcus aureus/efectos de los fármacos
8.
Food Chem ; 459: 140340, 2024 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-38986197

RESUMEN

This article presents a comprehensive overview of tiger milk mushroom (TMM), covering its nutritional composition, phytochemicals, health benefits, and related scientific advancements. It describes various potential positive health benefits of TMM, including anticancer, anti-inflammatory, respiratory function enhancement, antioxidant, anti-aging, neuroprotective, photoprotective, antidiabetic, wound-healing, and anti-HIV, among others. This article also underlines the importance of further research into the phytochemicals present in TMM for additional discoveries. It underscores the importance of further research into phytochemicals content of TMM for additional discoveries and emphasizes the potential applications of TMM in nutrition, health, and well-being. Sophisticated techniques, such as chemometrics and multi-omics technologies revealed latest scientific advancements of TMM. This comprehensive overview provides a foundation for future research and development in harnessing TMM's potential for human health.

9.
Int J Biol Macromol ; 261(Pt 1): 129555, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38278384

RESUMEN

Poria cocos is a popular medicinal food. Polysaccharides are the key component of Poria cocos, forming 70-90 % of the dry sclerotia mass. Recent studies indicate that Poria cocos polysaccharides (PCP-Cs) have multiple beneficial functions and applications. A literature search was conducted using the Web of Science Core Collection and PubMed databases. For this review, we provided an updated research progress in chemical structures, various extraction and analysis technologies, bioactivities of PCP-Cs, and insights into the directions for future research. The main polysaccharides identified in Poria cocos are water-soluble polysaccharides and acidic polysaccharides. Hot water, alkali, supercritical fluid, ultrasonic, enzyme, and deep eutectic solvent-based methods are the most common methods for PCP-Cs extraction. Technologies such as near-infrared spectroscopy, high-performance liquid chromatography, and ultraviolet-visible spectrophotometry, are commonly used to evaluate the qualities of PCP-Cs. In addition, PCP-Cs have antioxidant, immunomodulatory, neuroregulatory, anticancer, hepatoprotective, and gut microbiota regulatory properties. Future research is needed to focus on scaling up extraction, enhancing quality control, elucidating mechanisms of bioactivities, and the utilisation of PCP-Cs in food industries. Overall, Poria cocos is a good source of edible fungi polysaccharides, which can be developed into functional foods with potential health benefits.


Asunto(s)
Polisacáridos Fúngicos , Poria , Wolfiporia , Polisacáridos Fúngicos/farmacología , Polisacáridos Fúngicos/química , Wolfiporia/química , Polisacáridos/farmacología , Polisacáridos/química , Agua , Control de Calidad , Poria/química
10.
Aust J Rural Health ; 21(5): 249-53, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24118146

RESUMEN

OBJECTIVE: This study compared rural location identified through the National Registration (AHPRA) registry with location obtained through labour-intensive personal contact. DESIGN: Longitudinal cohort study with two methods to identify the work locations of medical graduates from The Rural Clinical School of Western Australia (RCSWA). PARTICIPANTS: Consenting alumni from the University of Western Australia and the University of Notre Dame Fremantle participating in RCSWA between 2002 and 2009 inclusive and available to contact in 2011. MAIN OUTCOME MEASURE: Percentage location matches between two contact methods. RESULTS: There was 80% agreement for principal suburb, 92% agreement for principal city and 94% agreement for principal state between RCSWA personal contact and the AHPRA registry. AHPRA identified nearly two times as many graduate locations. However, there was only 31% agreement for a rural placement location (of any length). In more detail, for year-long rural placement, personal contact was 88% concordant with AHPRA; work six months or more were less concordant (44% agreement); work less than six months were not concordant (4% agreement). CONCLUSIONS: AHPRA data matched RCSWA alumni data only for graduates in full-time rural work. Since medical alumni spend up to 10 years in pre-vocational and vocational training, which includes many rural options, personal contact was able to pick up the myriad of rural choices, whereas the AHPRA database was not sensitive enough to identify them. Until graduates have stably finished training, the optimal method to identify rural work is through personal contact but statistical correction for missing data needs to be considered.


Asunto(s)
Educación de Postgrado en Medicina , Ubicación de la Práctica Profesional , Sistema de Registros , Servicios de Salud Rural , Adulto , Australia , Selección de Profesión , Estudios de Cohortes , Recolección de Datos/normas , Humanos , Recursos Humanos
11.
Food Res Int ; 170: 113007, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37316075

RESUMEN

This review discussed the origin, manufacturing process, chemical composition, factors affecting quality and health benefits of matcha (Camellia sinensis), and the application of chemometrics and multi-omics in the science of matcha. The discussion primarily distinguishes between matcha and regular green tea with processing and compositional factors, and demonstrates beneficial health effects of consuming matcha. Preferred Reporting Items for Systematic Reviews and Meta-Analyses was adopted to search for relevant information in this review. Boolean operators were incorporated to explore related sources in various databases. Notably, climate, cultivar, maturity of tea leaves, grinding process and brewing temperature impact on the overall quality of matcha. Besides, sufficient shading prior to harvesting significantly increases the contents of theanine and chlorophyll in the tea leaves. Furthermore, the ground whole tea leaf powder delivers matcha with the greatest benefits to the consumers. The health promoting benefits of matcha are mainly contributed by its micro-nutrients and the antioxidative phytochemicals, specifically epigallocatechin-gallate, theanine and caffeine. Collectively, the chemical composition of matcha affected its quality and health benefits significantly. To this end, more studies are required to elucidate the biological mechanisms of these compounds for human health. Chemometrics and multi-omics technologies are useful to fill up the research gaps identified in this review.


Asunto(s)
Quimiometría , Multiómica , Humanos , Control de Calidad , Antioxidantes , Cafeína
12.
Antibiotics (Basel) ; 12(7)2023 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-37508219

RESUMEN

Quorum sensing (QS) in Pseudomonas aeruginosa plays an essential role in virulence factors, biofilm formation as well as antibiotic resistance. Approaches that target virulence factors are known to be more sustainable than antibiotics in weakening the infectivity of bacteria. Although honey has been shown to exert antipseudomonal activities, the enhancement of such activity in ginger-enriched honey is still unknown. The main objective of this study was to determine the impacts of honey and ginger-enriched honey on the QS virulence factors and biofilm formation of antibiotic resistant P. aeruginosa clinical isolates. Outcomes showed honey and/or ginger-enriched honey significantly reduced the protease activity, pyocyanin production and exotoxin A concentration of the isolates. The swarming and swimming motility together with biofilm formation in all clinical isolates were also significantly inhibited by both honey samples. Notable morphological alteration of bacterial cells was also observed using scanning electron microscopy. A principal component analysis (PCA) managed to distinguish the untreated group and treatment groups into two distinct clusters, although honey and ginger-enriched honey groups were not well differentiated. This study revealed the effectiveness of honey including ginger-enriched honey to attenuate QS virulence factors and biofilm formation of P. aeruginosa.

13.
Nutrients ; 15(10)2023 May 19.
Artículo en Inglés | MEDLINE | ID: mdl-37242265

RESUMEN

Research background and Objectives: Age is an independent risk factor for cardiovascular disease (CVD), but CVD risk factors are preventable, and lack of awareness of its risk factors is a contributing factor to CVDs. Middle-aged people may be more likely to engage in unhealthy lifestyle behaviours which can increase the risk of CVD. Health self-assessment is crucial for early detection and management of health issues and early lifestyle intervention for better personalised health management. This study aims to determine the self-assessment of INTERHEART risk classification among the middle-aged community in Malaysia. Method: Local community members aged 40-60 years and who are currently residing in Malaysia were recruited via non-randomised sampling. Sociodemographic characteristics and dietary pattern related to salt, fibre, fat (deep fried/snacks), poultry/meat intakes, and other cardiovascular risk factors (waist-hip ratio, medical history related to diabetes/hypertension, history/exposure of tobacco use, psychosocial status, and level of physical activity) were assessed; INTERHEART risk scores were then computed and stratified into low, medium and high risks. Results: Approximately 45% (n = 273/602) of middle-aged respondents in Malaysia are at moderate-to-high risk of cardiovascular events, with men being more likely to develop CVD compared to women. The results of the survey indicated that poultry/meat intake (61%), physical inactivity (59%), and second-hand smoke (SHS) exposure (54%) are the most prevalent risk factors among the respondents. One-third of the respondents consumed excessive salty food and deep fried foods/snacks/fast food, and only one-third of them consumed vegetables/fruits at a recommended level. It is worrying that about a quarter of the respondents felt several periodical/permanent stresses and even felt sad/blue/depressed for two weeks or more in a row. Males, labour workers, and those with lower educational levels are more likely to develop CVD events. Conclusions: This study found that 45% of the middle-aged respondents were having moderate-to-high risk for cardiovascular events with multiple risk factors related to unhealthy lifestyle habits and environmental factors. In addition to non-modifiable factors such as gender and age, sociodemographic factors, i.e., educational level and occupation, are equally important factors to determine CVD risk. Overall, the findings of this study emphasize the clinical relevance of assessing multiple factors in the determination of CVD risks for early prevention and management of cardiovascular diseases.


Asunto(s)
Enfermedades Cardiovasculares , Autoevaluación (Psicología) , Masculino , Persona de Mediana Edad , Humanos , Femenino , Malasia/epidemiología , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/etiología , Enfermedades Cardiovasculares/prevención & control , Factores de Riesgo , Frutas , Medición de Riesgo
14.
Prehosp Emerg Care ; 16(2): 256-65, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-21999815

RESUMEN

OBJECTIVES: The main objective of this study was to establish the spatial variation in ambulance response times for out-of-hospital cardiac arrests (OHCAs) in the city-state of Singapore. The secondary objective involved studying the relationships between various covariates, such as traffic condition and time and day of collapse, and ambulance response times. METHODS: The study design was observational and ecological in nature. Data on OHCAs were collected from a nationally representative database for the period October 2001 to October 2004. We used the conditional autoregressive (CAR) model to analyze the data. Within the Bayesian framework of analysis, we used a Weibull regression model that took into account spatial random effects. The regression model was used to study the independent effects of each covariate. RESULTS: Our results showed that there was spatial heterogeneity in the ambulance response times in Singapore. Generally, areas in the far outskirts (suburbs), such as Boon Lay (in the west) and Sembawang (in the north), fared badly in terms of ambulance response times. This improved when adjusted for key covariates, including distance from the nearest fire station. Ambulance response time was also associated with better traffic conditions, weekend OHCAs, distance from the nearest fire station, and OHCAs occurring during nonpeak driving hours. For instance, the hazard ratio for good ambulance response time was 2.35 (95% credible interval [CI] 1.97-2.81) when traffic conditions were light and 1.72 (95% CI 1.51-1.97) when traffic conditions were moderate, as compared with heavy traffic. CONCLUSIONS: We found a clear spatial gradient for ambulance response times, with far-outlying areas' exhibiting poorer response times. Our study highlights the utility of this novel approach, which may be helpful for planning emergency medical services and public emergency responses.


Asunto(s)
Ambulancias/organización & administración , Ambulancias/estadística & datos numéricos , Servicios Médicos de Urgencia/normas , Paro Cardíaco Extrahospitalario/terapia , Adulto , Factores de Edad , Anciano , Teorema de Bayes , Bases de Datos Factuales , Urgencias Médicas , Servicios Médicos de Urgencia/tendencias , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Masculino , Persona de Mediana Edad , Paro Cardíaco Extrahospitalario/mortalidad , Estudios Retrospectivos , Medición de Riesgo , Singapur , Factores Socioeconómicos , Análisis de Supervivencia , Factores de Tiempo , Población Urbana
15.
Med J Malaysia ; 67(4): 379-85, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23082445

RESUMEN

Hypertension has been identified as one of the causes for end stage renal failure (ESRF) and is likely to worsen kidney function. This retrospective study was carried out at a tertiary hospital in Malaysia with the objective of determining the effectiveness of combination antihypertensive drugs in hypertensive patients with ESRF admitted between 2006 and 2008. Patients with incomplete data and who were on monotherapy were excluded from this study. Although six different combinations gave significant reductions in systolic blood pressure (SBP) (13.38 +/- 9.11 mmHg, p < 0.05) and diastolic blood pressure (DBP) (6.03 +/- 11.39 mmHg, p < 0.05), 69.16% patients did not achieve target blood pressure (BP) (< or = 130/80 mmHg). Combination of beta blocker (BB) with calcium channel blocker (CCB) was the most commonly used. The CCB-diuretic regimen achieved highest percentage of BP control compared to others (40%). Comparison of blood pressure reduction between different combinations of antihypertensive drugs were not significant (p > 0.05) except for CCB-diuretics and BB-CCB-alpha blocker. The findings suggested better BP control with CCB-diuretic relative to other combinations used.


Asunto(s)
Antihipertensivos/uso terapéutico , Hipertensión/complicaciones , Hipertensión/tratamiento farmacológico , Fallo Renal Crónico/complicaciones , Antagonistas Adrenérgicos alfa/uso terapéutico , Antagonistas Adrenérgicos beta/uso terapéutico , Anciano , Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Presión Sanguínea , Bloqueadores de los Canales de Calcio/uso terapéutico , Diuréticos/uso terapéutico , Quimioterapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad
16.
J Clin Pathol ; 75(5): 310-315, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-33827933

RESUMEN

AIMS: Primary lung adenocarcinoma consists of a spectrum of clinical and pathological subtypes that may impact on overall survival (OS). Our study aims to evaluate the impact of adenocarcinoma subtype and intra-alveolar spread on survival after anatomical lung resection and identify different prognostic factors based on stage and histological subtype. METHODS: Newly diagnosed patients undergoing anatomical lung resections without induction therapy, for pT1-3, N0-2 lung adenocarcinoma from April 2011 to March 2013, were included. The effect of clinical-pathological factors on survival was retrospectively assessed. RESULTS: Two hundred and sixty-two patients were enrolled. The 1-year, 3-year and 5-year OS were 88.8%, 64.3% and 51.1%, respectively. Univariate analysis showed lymphovascular, parietal pleural and chest wall invasion to confer a worse 1-year and 5-year prognosis (all p<0.0001). Solid predominant adenocarcinomas exhibited a significantly worse OS (p=0.014). Multivariate analysis did not identify solid subtype as an independent prognostic factor; however, identified stage >IIa, lymphovascular invasion (p=0.002) and intra-alveolar spread (p=0.009) as significant independent predictors of worse OS. Co-presence of intra-alveolar spread and solid predominance significantly reduced OS. Disease-free survival (DFS) was reduced with parietal pleural (p=0.0007) and chest wall invasion (p<0.0001), however, adenocarcinoma subtype had no significant impact on DFS. CONCLUSIONS: Our study demonstrates that solid predominant adenocarcinoma, intra-alveolar spread and lymphovascular invasion confer a worse prognosis and should be used as a prognostic tool to determine appropriate adjuvant treatment.


Asunto(s)
Adenocarcinoma del Pulmón , Adenocarcinoma , Neoplasias Pulmonares , Adenocarcinoma/patología , Adenocarcinoma del Pulmón/patología , Adenocarcinoma del Pulmón/cirugía , Supervivencia sin Enfermedad , Humanos , Pulmón/patología , Neoplasias Pulmonares/diagnóstico , Estadificación de Neoplasias , Pronóstico , Estudios Retrospectivos
17.
Cell Discov ; 8(1): 138, 2022 Dec 27.
Artículo en Inglés | MEDLINE | ID: mdl-36575183

RESUMEN

N6-deoxyadenosine methylation (6mA) is the most widespread type of DNA modification in prokaryotes and is also abundantly distributed in some unicellular eukaryotes. However, 6mA levels are remarkably low in mammals. The lack of a precise and comprehensive mapping method has hindered more advanced investigations of 6mA. Here, we report a new method MM-seq (modification-induced mismatch sequencing) for genome-wide 6mA mapping based on a novel detection principle. We found that modified DNA bases are prone to form a local open region that allows capture by antibody, for example, via a DNA breathing or base-flipping mechanism. Specified endonuclease or exonuclease can recognize the antibody-stabilized mismatch-like structure and mark the exact modified sites for sequencing readout. Using this method, we examined the genomic positions of 6mA in bacteria (E. coli), green algae (C. reinhardtii), and mammalian cells (HEK239T, Huh7, and HeLa cells). In contrast to bacteria and green algae, human cells possess a very limited number of 6mA sites which are sporadically distributed across the genome of different cell types. After knocking out the RNA m6A methyltransferase METTL3 in mouse ES cells, 6mA becomes mostly diminished. Our results imply that rare 6mA in the mammalian genome is introduced by RNA m6A machinery via a non-targeted mechanism.

18.
Ann Emerg Med ; 58(4): 343-51, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21239083

RESUMEN

STUDY OBJECTIVE: Our primary objective is to calculate the relative risk of cardiac arrests at the development guide plan (DGP) (equivalent to census tract) level in a city-state, Singapore, and examine its relationship with key area-level population characteristics. METHODS: This was an observational ecological study design. We calculated the relative risk as the ratio of the observed and population standardized expected counts of out-of-hospital cardiac arrests in Singapore, aggregated at DGP level. Data were collected from October 2001 to October 2004. We used conditional autoregressive spatial models to examine the predictors of increased risk at the DGP level. RESULTS: We found a spatial distribution of cardiac arrests, with an unexpected cluster caused by nonresident arrests occurring at the international airport. The risk of out-of-hospital cardiac arrest more than doubled, 2.35 (95% confidence interval [CI] 1.28 to 4.48), for each 5-point increase in the proportion of people aged 65 years and older. For each 5-point increase in the proportion of Chinese individuals living in a DGP, the risk of out-of-hospital cardiac arrest was reduced by a factor of 0.8 (95% CI 0.7 to 0.9). The risk of out-of-hospital cardiac arrest increased by 1.49-fold (95% CI 1.18 to 1.82) for every 5-point increase in the proportion of households with no family nucleus (live alone). When restricted to residential cases of out-of-hospital cardiac arrest, none of the variables remained significant, possibly because of small sample size. CONCLUSION: The risk of cardiac arrests could be related to the age and racial and family structure of DGPs in Singapore. This article models how such data can help to direct public health education, cardiopulmonary resuscitation training, and public access defibrillation programs in other health systems.


Asunto(s)
Paro Cardíaco Extrahospitalario/epidemiología , Factores de Edad , Anciano , Reanimación Cardiopulmonar/estadística & datos numéricos , Análisis por Conglomerados , Composición Familiar , Femenino , Geografía , Humanos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Evaluación de Necesidades , Grupos Raciales/estadística & datos numéricos , Características de la Residencia/estadística & datos numéricos , Riesgo , Factores Sexuales , Singapur/epidemiología
19.
Sci Total Environ ; 777: 146180, 2021 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-33689891

RESUMEN

This paper investigates the impacts of extensive riverbed mining in the Lower Mekong on the water level, extent and volume of the Tonlé Sap Lake, the largest freshwater lake in Southeast Asia. Our results indicate that the lake's volume has decreased from 1980 to 2018 (p-value = 0.016), with water levels at Phnom Penh Port and Phnom Penh Bassac showing decreasing trends since 1980 (p-values <0.0001). However, discharge at Phnom Penh Bassac (1960-2002) presented an insignificant trend (p-value = 0.147), indicating that riverbed incision due to extensive sand mining in Phnom Penh has affected the Mekong's water levels more than basin-scale climatic factors. Similarly, the modulation of a limited portion of water by upstream dams is unlikely to have caused dramatic inundation variation along the Lower Mekong River around Tonlé Sap. A hysteretic relationship between water levels at Prek Kdam and Tonlé Sap indicates that Tonlé Sap's water level is largely controlled by Tonlé Sap River and the Mekong, and declining water levels at Prek Kdam due to extensive sand mining in Phnom Penh is directly related to the shrinking of the lake. Although there are three main inflows into Tonlé Sap (from the Mekong, local tributaries and direct precipitation), the Mekong's contribution is the largest; tributary discharge and rainfall did not display any significant trend over the investigated period as well. Additionally, the analysis of high-resolution images revealed a recent intensification of riverbed mining, with Phnom Penh being a mining hotspot in the Lower Mekong. Considering its economic and ecological importance, the shrinking of Tonlé Sap would have grave repercussions for the region. Since sand demand is unlikely to weaken in the foreseeable future, these new insights can potentially help inform regulatory frameworks in ensuring sustainable sand extraction rates.

20.
Food Chem ; 340: 127876, 2021 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-32871354

RESUMEN

Jackfruit is a sweet tropical fruit with very pleasant aroma, and the ripe seeds are edible. In this study, jackfruit seed proteins were isolated and subjected to trypsin digestion. The resultant protein hydrolysate was then subjected to antioxidant assay-guided purification, using centrifugal filtration, C18 reverse-phase and strong cation exchange (SCX) fractionations. The purified SCX fraction was further analyzed by de novo peptide sequencing, and two peptide sequences were identified and synthesized. Peptide JFS-2 (VGPWQK) was detected with antioxidant potential, with EC50 value comparable to that of commercial GSH antioxidant peptide. Additionally, the identified peptides were tested with protein protection potential, in an albumin protein denaturation inhibitory assay. Concurrently, we also investigated the pH, temperature, and gastrointestinal-digestion stability profiles for the identified peptide. With further research efforts, the identified peptides could potentially be developed into preservative agent for protein-rich food systems or as health-promoting diet supplements.


Asunto(s)
Antioxidantes/análisis , Artocarpus/química , Péptidos/análisis , Péptidos/química , Hidrolisados de Proteína/química , Semillas/química , Antioxidantes/química , Cromatografía por Intercambio Iónico , Digestión , Conservantes de Alimentos , Concentración de Iones de Hidrógeno , Péptidos/metabolismo , Temperatura , Tripsina
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